Individual provider Active NPI

Kimberly Warren, PTA

  • Physical Therapy Assistant
  • Albuquerque, NM
National Provider Identifier
1033813662
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1960 Issued in NM
Practice address
6400 Jefferson St NE Ste 102
Albuquerque, NM 87109-3491
Phone
(505) 344-2922
NPI assigned
Mar 28, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1960 NM Primary

Addresses

Primary practice location

6400 Jefferson St NE Ste 102
Albuquerque, NM 87109-3491

Mailing address

800 Pueblo Solano Rd NW
Los Ranchos, NM 87107-6418
Phone (682) 321-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA1960NMMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Armada Physical Therapy of Albuquerque LLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1033813662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 PUEBLO SOLANO RD NW",
            "city": "LOS RANCHOS",
            "state": "NM",
            "postal_code": "871076418",
            "telephone_number": "682-321-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 JEFFERSON ST NE STE 102",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093491",
            "telephone_number": "505-344-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "KIMBERLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NM",
            "license": "PTA1960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.